Flashcards in Evaluation of Joint dysfunction Deck (62)
What are the four components of a standard physical exam?
Look (observe), Touch (palpation), Tap (percussion), Listen (auscultation)
What are the 7 components of a physical exam of the NMS system?
Observe, ROM, Palpation, Muscle testing, Orthopedic testing, Neurologic testing, Percussion and Auscultation
What is the medical definition of subluxation?
A partial or incomplete dislocation.
What is the (basic) definition for subluxation in Chiropractic?
A dysfunctional joint (not just the spine) that can/ does affect the biomechanics.
What is subluxation syndrome?
A complex clinical syndrome with potential mechanical, inflammatory- vascular, and neurobiologic pathologic effects.
What are the 3 types of joint dysfunction?
Hypomobolity, Hypermobility, and Clinical joint instability
What is joint dysfunction?
Joint mechanics that show disturbances of function without structural or positional change- subtle mechanical joint alterations affecting quality and range of joint motions
What is joint fixation?
The state whereby an articulation has become temporarily immobilized in a position that it may normally occupy during any phase of physiologic movement.
What is joint restriction?
limitation of movement; or describes the direction oflimited movement in dysfunctional joints
What are the components of joint dysfunction/ subuxation?
What does P.A.R.T.S. stand for?
Pain, Asymmetry, Range of motion abnormality, Tone/texture/temperature, and Special tests
What are the 3 (of the many) causes of joint dysfunction as seen in the clinical presentation?
Macrotrauma, Microtrauma, or Posture
What is an example of a macrotrauma?
Motor vehicle accident
What is an example of a microtrauma?
Repeated stress injury (carpal tunnel syndrome)
What is an example of poor posture for joint dysfunction?
Anterior head carriage
What is primary joint dysfunction?
The presence ofjoint pathomechanics without any further
What are the two examples of Joint dysfunction and disease being related?
Somatosomatic reflexes and Somatovisceral reflexes
What is a somatosomatic reflex?
When a primary somatic problem causes a secondary somatic problem
What is a somatovisceral reflex?
When a primary somatic problem causes a secondary visceral problem; or when a primary visceral problem causes a secondary somatic problem
What are two examples of joint dysfunction and disease occurring separately?
Diabetes and Hypertension
What are the four steps for physical assessment of joint dysfunction/subluxation?
Inspection/observation, Global ROM, Palpation- Static and Motion, and Muscle testing
On inspection/observation, what are you looking at?
Superficial stuff (skin, moles, etc), Posture, Gait
What is Global ROM?
The evaluation of a joint or spinal regional movement in all its ranges o f movement.
What do you compare Global ROM against?
Standards (with goniometers and Inclinometry)
What is Static palpation?
Palpatory diagnosis of somatic structures in a neutral static position.
What is palpation?
The act of feeling with the hands. The application of variable manual pressure through the surface ofthe body for the purpose ofdetermining the shape, size, consistency, position, inherent motility, and health ofthe tissues beneath.
What is motion palpation?
(segmental motion assessment)- Palpatory diagnosis of
passive and active segmental joint range o f motion.
What two structures are you looking for with static palpation?
Soft tissue (skin and muscle), and Bone/cartliage
What are the objectives of motion palpation?
Quantity of movement, Quality of movement, Joint play, End feel, and Symptoms